Summary explaining futility of aggressive treatment in some cases would help people make informed decisions
October 28, 2013 — Deron Hamel
The chair of the Ontario Medical Association’s section on general internal medicine is suggesting health-care stakeholders develop a written summary of end-of-life goals and information explaining the futility of aggressive treatment in some cases to enhance palliative-care practices.
In the commentary section of the Toronto Star on Oct. 24, Dr. Charles S. Shaver offers an interesting solution to a challenge found in the health-care system: that a group of doctors, nurses, ethicists and spiritual leaders could convene to draft a summary that would help physicians talk with families to help them make better end-of-life care decisions when their loved ones have no chance of survival.
Once completed, the information could be translated into several languages and sent to Canadian hospitals from coast to coast.
The issue of family members insisting on resuscitating their loved ones who have no chance of survival is often rooted in cultural and religious differences, Shaver points out.
In other cases, Shaver writes, a person’s son or daughter who lives far away from their parent has feelings of guilt and will insist that doctors use aggressive treatment to prevent their mother or father from dying.
However, having information available explaining how aggressive treatments to individuals who are dying can often be detrimental could help ease these situations when they arise, Shaver proposes.
“A physician dealing with a difficult situation — especially when the patient is of a different ethnic background — could speak to family members, hand out this document for them to discuss among themselves, and then meet again to make a more reasoned end-of-life decision,” he writes.
Shaver adds: “Communication would be further enhanced if the physician could enlist the help of a physician, nurse, pharmacist, etc. who was of the same cultural group as the patient, and could meet with family members and answer any questions in their own language.”
In his commentary, Shaver proposes that the Canadian Medical Association could scrutinize the process to prevent the information as being perceived as a tool to save money in provincial health budgets.
Obviously, this is an issue the long-term care sector has a stake in. If you would like to comment on this issue, please contact the newsroom at 800-294-0051, ext. 23, or e-mail deron(at)axiomnews.ca.
Click here to read Shaver’s full commentary.
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